I am 4 years post op and the last couple of weeks I've felt a strange feeling in my left breast. When bending down I feel like my implant is moving, also flexing my peck muscle and lifting my arm it feels strange, not painful but almost like the muscle is pulling. I have my implants under the muscle. Otherwise no pain and the breasts are soft and looking normal.
Answer: Am I bottoming out? Both of your implants have bottomed out as noted by a long distance between your nipples and your breast crease (infra-mammary fold). Because of the lower location of the implants they are more easily felt and feel "funny" or "different" than they did before because they are in a different position than they have ever been. I would suggest seeing a surgeon if it is bothering you to have the pockets repaired and would suggest using a mesh to re-enforce the repair to gain more longevity in the repair.
Helpful
Answer: Am I bottoming out? Both of your implants have bottomed out as noted by a long distance between your nipples and your breast crease (infra-mammary fold). Because of the lower location of the implants they are more easily felt and feel "funny" or "different" than they did before because they are in a different position than they have ever been. I would suggest seeing a surgeon if it is bothering you to have the pockets repaired and would suggest using a mesh to re-enforce the repair to gain more longevity in the repair.
Helpful
August 24, 2024
Answer: Pulling sensation Dear rubilove, I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
August 24, 2024
Answer: Pulling sensation Dear rubilove, I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
Helpful
August 15, 2024
Answer: A pulling sensation A pulling sensation is very common after implant surgery, even a number of years out. They usually, and go. You do have an element of bottoming out, but it is impossible to say this is the cause of your sensation.
Helpful
August 15, 2024
Answer: A pulling sensation A pulling sensation is very common after implant surgery, even a number of years out. They usually, and go. You do have an element of bottoming out, but it is impossible to say this is the cause of your sensation.
Helpful
August 8, 2024
Answer: Could a pulling sensation and implant movement be a sign of bottoming out? Hi. Both your implants have bottomed out. This may happen due to several factors but it basically means there is not enough support on the lower pole to keep the implants above the breast fold. Bottoming out happens more often when either the breast fold is altered during surgery and or when the muscles that cover the top part of the implants push down on the implants. Reconstruction of the breast fold is necessary with either an absorbable mesh or using the patients own fascia or even using chest muscles to cover the implants lower half. The muscle over the top part of the implant (the pectoralis muscle) can be released a bit so that it is looser above the implant and doesn’t push down as much. This will all help avoid bottoming out in the future.
Helpful
August 8, 2024
Answer: Could a pulling sensation and implant movement be a sign of bottoming out? Hi. Both your implants have bottomed out. This may happen due to several factors but it basically means there is not enough support on the lower pole to keep the implants above the breast fold. Bottoming out happens more often when either the breast fold is altered during surgery and or when the muscles that cover the top part of the implants push down on the implants. Reconstruction of the breast fold is necessary with either an absorbable mesh or using the patients own fascia or even using chest muscles to cover the implants lower half. The muscle over the top part of the implant (the pectoralis muscle) can be released a bit so that it is looser above the implant and doesn’t push down as much. This will all help avoid bottoming out in the future.
Helpful
August 8, 2024
Answer: Could a pulling sensation and implant movement be a sign of bottoming out? (photos) Thank you for sharing your question and photographs. It does appear that your implants have bottomed out with the increased length of skin from your nipple to breast fold, high-riding nipple, and lack of upper pole breast volume relative to the lower pole. You can have this repaired through a revision breast procedure. Hope this helps.
Helpful
August 8, 2024
Answer: Could a pulling sensation and implant movement be a sign of bottoming out? (photos) Thank you for sharing your question and photographs. It does appear that your implants have bottomed out with the increased length of skin from your nipple to breast fold, high-riding nipple, and lack of upper pole breast volume relative to the lower pole. You can have this repaired through a revision breast procedure. Hope this helps.
Helpful